Quality indicators of hip fracture management. A systematic review.
Identifieur interne : 000770 ( Main/Exploration ); précédent : 000769; suivant : 000771Quality indicators of hip fracture management. A systematic review.
Auteurs : Imen Zemni ; Kacem Meriem ; Mohamed Khelil ; Mouna Safer ; Chokri Zoghlami ; Ahmed Ben Abdelaziz [Tunisie]Source :
- La Tunisie medicale [ 0041-4131 ] ; 2020.
Abstract
OBJECTIVE
To identify standards and quality indicators of hip fracture management from the medical literature.
METHODS
We conducted a "systematic review" on the topic of quality indicators of hip fracture management using PubMed database, during 15 years from 2001 to 2015. The collected publications were studied by two readers to extract the different quality indicators of hip fracture management. These indicators were stratified according to their type (process or outcome) and to the time of health care (pre, per or post-operative).
RESULTS
A total of 41 articles were included in the study: The analysis of these articles highlighted a predominance of Anglo-Saxon papers, an increasing rate of publication over time, a dominance of evaluative studies and a multiplicity of guidelines. A total of 46 quality indicators were identified through these articles. Two third were classified as procedural items and 60% were about post-operative hip fracture management. The most assessed indicators and standards, among those related to the preoperative care, were time to surgery (34%) and patient clinical condition assessment (11%). During the operation time, the most assessed indicator was the proportion of patients who have had spinal anesthesia (73%). For the postoperative care, the most common indicators and standards were length of hospital stay (12%), osteoporosis treatment prescription (8%), mattresses use to prevent pressure ulcer (7%), pressure sores occurring (7%) and in hospital mortality (7%).
CONCLUSION
This systematic review allowed to identify the main indicators recommended to evaluate the management of hip fracture. The continuous monitoring of these indicators should be generalized in maghrebian countries using strategic dashboards in all hospitals and clinics treating this pathology.
PubMed: 33479993
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: 000055
- to stream PubMed, to step Curation: 000054
- to stream PubMed, to step Checkpoint: 000104
- to stream Main, to step Merge: 000770
- to stream Main, to step Curation: 000770
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Quality indicators of hip fracture management. A systematic review.</title><author><name sortKey="Zemni, Imen" sort="Zemni, Imen" uniqKey="Zemni I" first="Imen" last="Zemni">Imen Zemni</name></author><author><name sortKey="Meriem, Kacem" sort="Meriem, Kacem" uniqKey="Meriem K" first="Kacem" last="Meriem">Kacem Meriem</name></author><author><name sortKey="Khelil, Mohamed" sort="Khelil, Mohamed" uniqKey="Khelil M" first="Mohamed" last="Khelil">Mohamed Khelil</name></author><author><name sortKey="Safer, Mouna" sort="Safer, Mouna" uniqKey="Safer M" first="Mouna" last="Safer">Mouna Safer</name></author><author><name sortKey="Zoghlami, Chokri" sort="Zoghlami, Chokri" uniqKey="Zoghlami C" first="Chokri" last="Zoghlami">Chokri Zoghlami</name></author><author><name sortKey="Ben Abdelaziz, Ahmed" sort="Ben Abdelaziz, Ahmed" uniqKey="Ben Abdelaziz A" first="Ahmed" last="Ben Abdelaziz">Ahmed Ben Abdelaziz</name><affiliation><country>Tunisie</country><placeName><settlement type="city">Sousse</settlement><region type="region" nuts="2">Gouvernorat de Sousse</region></placeName><orgName type="university" n="3">Université de Sousse</orgName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:33479993</idno><idno type="pmid">33479993</idno><idno type="wicri:Area/PubMed/Corpus">000055</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000055</idno><idno type="wicri:Area/PubMed/Curation">000054</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000054</idno><idno type="wicri:Area/PubMed/Checkpoint">000104</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000104</idno><idno type="wicri:Area/Main/Merge">000770</idno><idno type="wicri:Area/Main/Curation">000770</idno><idno type="wicri:Area/Main/Exploration">000770</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Quality indicators of hip fracture management. A systematic review.</title><author><name sortKey="Zemni, Imen" sort="Zemni, Imen" uniqKey="Zemni I" first="Imen" last="Zemni">Imen Zemni</name></author><author><name sortKey="Meriem, Kacem" sort="Meriem, Kacem" uniqKey="Meriem K" first="Kacem" last="Meriem">Kacem Meriem</name></author><author><name sortKey="Khelil, Mohamed" sort="Khelil, Mohamed" uniqKey="Khelil M" first="Mohamed" last="Khelil">Mohamed Khelil</name></author><author><name sortKey="Safer, Mouna" sort="Safer, Mouna" uniqKey="Safer M" first="Mouna" last="Safer">Mouna Safer</name></author><author><name sortKey="Zoghlami, Chokri" sort="Zoghlami, Chokri" uniqKey="Zoghlami C" first="Chokri" last="Zoghlami">Chokri Zoghlami</name></author><author><name sortKey="Ben Abdelaziz, Ahmed" sort="Ben Abdelaziz, Ahmed" uniqKey="Ben Abdelaziz A" first="Ahmed" last="Ben Abdelaziz">Ahmed Ben Abdelaziz</name><affiliation><country>Tunisie</country><placeName><settlement type="city">Sousse</settlement><region type="region" nuts="2">Gouvernorat de Sousse</region></placeName><orgName type="university" n="3">Université de Sousse</orgName></affiliation></author></analytic><series><title level="j">La Tunisie medicale</title><idno type="ISSN">0041-4131</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To identify standards and quality indicators of hip fracture management from the medical literature.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>We conducted a "systematic review" on the topic of quality indicators of hip fracture management using PubMed database, during 15 years from 2001 to 2015. The collected publications were studied by two readers to extract the different quality indicators of hip fracture management. These indicators were stratified according to their type (process or outcome) and to the time of health care (pre, per or post-operative).</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>A total of 41 articles were included in the study: The analysis of these articles highlighted a predominance of Anglo-Saxon papers, an increasing rate of publication over time, a dominance of evaluative studies and a multiplicity of guidelines. A total of 46 quality indicators were identified through these articles. Two third were classified as procedural items and 60% were about post-operative hip fracture management. The most assessed indicators and standards, among those related to the preoperative care, were time to surgery (34%) and patient clinical condition assessment (11%). During the operation time, the most assessed indicator was the proportion of patients who have had spinal anesthesia (73%). For the postoperative care, the most common indicators and standards were length of hospital stay (12%), osteoporosis treatment prescription (8%), mattresses use to prevent pressure ulcer (7%), pressure sores occurring (7%) and in hospital mortality (7%).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>This systematic review allowed to identify the main indicators recommended to evaluate the management of hip fracture. The continuous monitoring of these indicators should be generalized in maghrebian countries using strategic dashboards in all hospitals and clinics treating this pathology.</p></div></front></TEI><affiliations><list><country><li>Tunisie</li></country><region><li>Gouvernorat de Sousse</li></region><settlement><li>Sousse</li></settlement><orgName><li>Université de Sousse</li></orgName></list><tree><noCountry><name sortKey="Khelil, Mohamed" sort="Khelil, Mohamed" uniqKey="Khelil M" first="Mohamed" last="Khelil">Mohamed Khelil</name><name sortKey="Meriem, Kacem" sort="Meriem, Kacem" uniqKey="Meriem K" first="Kacem" last="Meriem">Kacem Meriem</name><name sortKey="Safer, Mouna" sort="Safer, Mouna" uniqKey="Safer M" first="Mouna" last="Safer">Mouna Safer</name><name sortKey="Zemni, Imen" sort="Zemni, Imen" uniqKey="Zemni I" first="Imen" last="Zemni">Imen Zemni</name><name sortKey="Zoghlami, Chokri" sort="Zoghlami, Chokri" uniqKey="Zoghlami C" first="Chokri" last="Zoghlami">Chokri Zoghlami</name></noCountry><country name="Tunisie"><region name="Gouvernorat de Sousse"><name sortKey="Ben Abdelaziz, Ahmed" sort="Ben Abdelaziz, Ahmed" uniqKey="Ben Abdelaziz A" first="Ahmed" last="Ben Abdelaziz">Ahmed Ben Abdelaziz</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/MaghrebDataLibMedV2/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000770 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000770 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= MaghrebDataLibMedV2
|flux= Main
|étape= Exploration
|type= RBID
|clé= pubmed:33479993
|texte= Quality indicators of hip fracture management. A systematic review.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:33479993" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a MaghrebDataLibMedV2
| This area was generated with Dilib version V0.6.38. |  |